NPI 1063971398
Pharma340 LLC
Practice location
- Address
- 1321 W Main St, Lake City, IA 51449-1585
- Phone
- (712) 464-7281
Authorised official
- Name
- Steven Donnelly
- Title
- Vice President
- Phone
- (210) 441-2036
Registered specialties (2)
Community/Retail Pharmacy
Primary
Long Term Care Pharmacy
Registry record
- NPI
- 1063971398
- Entity type
- Organization
- NPI issued
- 16 Mar 2019
- Record last updated
- 17 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.